NCLEX Questions, ATI NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

ATI NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

Which method of birth control would the nurse recommend for the homeless client who has had two (2) unplanned pregnancies?

Correct Answer: B

Rationale: Subdermal implants (e.g., Nexplanon) are long-acting, low-maintenance, and highly effective, ideal for a homeless client with adherence challenges. Cervical caps, pills, and injections require more effort.

Question 2 of 5

Which assessment data indicate to the nurse the client with diarrhea is experiencing a complication?

Correct Answer: C

Rationale: Tented turgor indicates dehydration, a serious diarrhea complication, requiring immediate intervention.

Question 3 of 5

The client is diagnosed with an acute exacerbation of Crohn's disease. Which assessment data warrant immediate attention?

Correct Answer: C

Rationale: Hypokalemia (3.3 mEq/L) risks arrhythmias in Crohn’s exacerbation, requiring immediate intervention.

Question 4 of 5

The client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?

Correct Answer: C

Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.

Question 5 of 5

The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?

Correct Answer: 75

Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.

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